Healthcare Provider Details

I. General information

NPI: 1134323694
Provider Name (Legal Business Name): KHALID EL-SAYED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2007
Last Update Date: 06/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8450 DORSEY RUN RD FORENSIC PSYCHIATRY FELLOWSHIP / PRE-TRIAL DIVISION
JESSUP MD
20794-9486
US

IV. Provider business mailing address

8450 DORSEY RUN RD FORENSIC PSYCHIATRY FELLOWSHIP / PRE-TRIAL DIVISION
JESSUP MD
20794-9486
US

V. Phone/Fax

Practice location:
  • Phone: 410-671-5529
  • Fax:
Mailing address:
  • Phone: 410-671-5529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: